I AM POWERFUL - Medivarmedivar.eu/.../uploads/2018/03/Piezotome-2-tootekataloog.pdf · 2018. 3....
Transcript of I AM POWERFUL - Medivarmedivar.eu/.../uploads/2018/03/Piezotome-2-tootekataloog.pdf · 2018. 3....
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SATELEC® These medical devices are manufactured according to current regulations and standards (IEC 60601-1) and according to certified ISO 13485 Quality Management System.
PIEZOTOME SOLOPIEZOTOME 2IMPLANTCENTER 2SERVOTOME
I AM POWERFUL
English
The perfect alliance Power & Safety
SATELEC S.A.S. • A Company of ACTEON Group • 17 av. Gustave Eiffel • BP 30216 • 33708 MERIGNAC cedex • FRANCETel + 33 (0) 556 340 607 • Fax + 33 (0) 556 349 292 • E-mail: [email protected] • www.acteongroup.com
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INTRODUCTION ........................................ 3
POWERFUL ULTRASONICS ................. 4-21 Ultrasonics clinical benefits ......... 6 A high level of expertise .............. 8 PIEZOTOME SOLO ...................... 10 PIEZOTOME 2 .............................. 12 IMPLANT CENTER 2 ................... 14 Many exclusive tips .................... 16 Clinical versality .......................... 18 Accessories .................................. 19 Features ....................................... 20
ELECTROSURGERY ............................. 22-27 SERVOTOME ................................ 24 Techniques of use....................... 26 Clinical cases ............................... 27
CONTENT
OA DDr. med. univ. et med. dent. Angelo C. TrödhanOromaxillofacial surgery specialist – Dental and oromaxillofacial specialistPresident of the International Academy for Ultrasonic Surgery and Implantology - www.iausi.orgMember of the TKW Research Group - www.perfectsmileandface.com/TKW.html
Dear colleagues,
The introduction of powerful and well-engineered piezo-ultrasonic devices and working tips has opened up completely new paths and surgical techniques for implantologists, Oral Maxillofacial Surgeons, and surgeons in other specialties for the management of hard and soft tissue.
Piezo-ultrasonic surgery offers atraumatic surgery (something laser once promised) a never before seen ease and precision in surgical procedures, and an almost blood-free operative field. Some additional benefits include faster healing with significantly less swelling, pain and complications.
In addition to completely new atraumatic surgical protocols, the ultrasonics themselves also induce a more rapid onset of healing and faster healing.
Ultrasonic surgery helps implantologists and patients in private practice avoid augmentative surgery that, in the past, could only be performed in a hospital setting. Surgical techniques such as vertical and horizontal expansion of the alveolar crest and sinus elevation which failed in the past because of deficient tools, can now be performed successfully and predictably with reduced time, costs, and post-operative pain.
Like all new technology, ultrasonic surgery requires thorough and comprehensive training. The procedures for piezo-ultrasonic surgery differ in principle from the procedures with rotary instruments and should not be used in a similar fashion. It is therefore recommended to study on the physical principles of ultrasound and all its effects (controlled and modulated vibrations, cavitation effect)
before using the device for the first time and to complete a certified piezo-ultrasonic surgery course.
With that in mind, I wish you much success in the new age of piezo-ultrasonic surgery!
PIEZO-ULTRASONIC SURGERYThe future of Oral surgery and implantology
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POWERFUL ULTRASONICSSURGERY BY ACTEON®
ACTEON® surgical units are highly reliable tools, specially designed to meet everyone’s priority of improving patient care.
Their unmatched performance combined with the practitioner’s clinical expertise paves the way for more precise, faster and painless pre-implant surgeries.
POWERFUL ULTRASONICS
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POWERFUL ULTRASONICS
ULTRASONICS CLINICAL BEN EFITS
Safety
Great comfort
Optimal visibility
Minimal bone loss
Postoperative
Superior healing
Cutting selectivity Soft tissue preservation
Smooth and effortless cut Increase tactile feel Easy bone access
His
tolo
gica
l sec
tion:
Dr
Serg
e D
ibar
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Cavitation: microbubbles releasing oxygen
Hemostatic effect
Fine and precise cut Minimally invasive
Reduced pain Less analgesics Limited œdema
Fast recovery Bone densification
EVIDENCE BASED CLINICAL BENEFITS*
A SHARED VISIONTechnological know-how for great clinical benefits
* ■ Compendium ULTRASONIC PIEZO SURGERY ■ In Vivo Assessment of Bone Healing following Piezotome® Ultrasonic Instrumentation,
J. Reside, E. Everett, R. Padilla, R. Arce, P. Miguez, N. Brodala, I. De Kok, S. Nares, Clinical Implant Dentistry and Related research, June 2013.
■ Ultrasonic Piezotome® surgery: is it a benefit for our patients and does it extend surgery time? A retrospective comparative study on the removal of 100 impacted mandibular 3rd molar, A. Troedhan, A. Kurrek, M. Wainwright, Open Journal of Stomatology, 2011.
■ Piezotome® Clinical Booklet.
Amplitude
Time1 second
Amplitude
Newtron mode
Piezotome modulation mode
Time1 second
Due to the selected frequencies ranging between 28 and 36 kHz, in Piezotome mode, the tips are active on hard tissue, limiting the risk of soft tissue injury. The modulation of the piezoelectric signal (alternating between high and low intensity) enables the tissue to recover and the cells to regenerate in the best possible way.
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POWERFUL ULTRASONICS
PUMP BENEFITS Constant flow Quiet operation Easy insertion of the irrigation line
POWERFUL HANDPIECE 6 ceramic rings Boosted handpiece No overheating
SURGICAL TIPS Numerous exclusive tips Great longevity Surgical steel strengthened by surface treatment Excellent durability to sterilization cycles
Soft tissue preservation Security: non active on soft tissue (modulated piezo signal)
Bone preservation Highly precise cut Linear piezoelectric vibrations Controlled and regular tip amplitude
Frequency adjustment Maximal performance of each tip Optimal and continuous efficiency whatever the load applied
Power regulation Constant performances even in dense bone Effortless cut without pressure
For both patient and practitioner Secure with effortless cut Better tactile sense Reduced post-operative pain
PRESERVATION
EFFICACY
COMFORT
A HIGH LEVEL OF EXPERTISE
UNIT, HANDPIECE AND TIPS ARE ONE ACTEON®, MAKES THE DIFFERENCEACTEON® Piezotome® ultrasonic power generators are piloted by Newtron® technology, patented electronics.
Unmatched performance, security and design to pave the way to more precise, faster and painless surgeries such as osteotomies, osteoplasties, sinus lift, crest expansion, extraction and much more.
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POWERFUL ULTRASONICS
SIMPLY INDISPENSABLE
IntuitiveThe Piezotome® Solo is incredibly easy to use thanks to its straightforward settings.
Power setting Irrigation
Purge Memorization
A complete offeringUnit delivered with handpiece and Essential kit.
Multifunction footswitch
LED or non LED handpiece available
Essential kit including 6 fundamental tips: BS1S,
BS4, LC2, SL1, SL2, SL3
ref F87528
Piezotome® Mode
Experience - Power - Simplicity
THE ESSENTIALPiezotome® Solo, the best of ACTEON® technology in a compact device. It integrates the most powerful, reliable and safe components dedicated to ultrasonic pre-implant surgery.
PIEZOTOME SOLO
Experience power and simplicity in ultrasonic bone surgery
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POWERFUL ULTRASONICS
PIEZOTOME® ModeActive on hard tissue, non-invasive on soft tissue
Osteotomies, Osteoplasties, PiezocisionTM Lateral and crestal sinus lift Crest expansion Syndesmotomy Crown lengthening
NEWTRON® ModeA full, efficient and safe care range
Prophylaxis Periodontics Implant care Endodontics Conservative and restorative dentistry
Large 5.7’’, operator-oriented touch-sensitive screen
Direct access to all parameters
Easy and storable settings
Saves more time than ever
Piezotome® Pre-implant bone surgery
Newtron® Dental tooth treatment
PiezoTouchTM : Progressive power regulation in Piezotome® and Newtron® modes
Main functions are accessible by the foot
Weighted down, stable and easy to move, thanks to its arch
Boosted: 6 ceramic rings
Extra bright: 100,000 Lux
Cold light: no overheating and better tissue distinction
2 modes available
POWER & SECURITY
BEYOND PERFECTIONWith Piezotome® 2, take full advantage of ACTEON®’s ultrasonic expertise in dental as well as in surgical piezoelectric treatments.
PIEZOTOME 2
ACTEON®’s ultrasonic expertise in dental and surgical treatments
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POWERFUL ULTRASONICS
ANYTHING IS POSSIBLE
I-Surge™ Implantology motor
Piezotome® Pre-implant bone surgery
Newtron® Dental tooth treatment
Variety Compatible with all light and regular
contra-angles on the market (E-type – ISO 3964 connection)
High torque and wide speed range for all kinds of treatment
Ready for implant, perio and endo contra-angles
Micro-motor LED Durable, precise and silent Fully sterilizable Corosion resistant (induction) No lubrication needed
Stability Perfect balance between torque and speed
for unmatched stability Maximum torque: 6Ncm up to 24,000Rpm Maximum torque at instrument end (20:1):
120Ncm Motor speed: 100 - 40,000Rpm
Customizable Four pre-set easily customizable
programs Intuitive settings can be quickly
adjusted during surgery
PiezoTouch™:progressivepower regulationin Piezotome®,I-Surge™ andNewtron® modes
3 modes of operation
THE ALLIANCE OF TECHNOLOGIESThe Implant Center™ 2 combines, in a complete table-top unit, the most advanced ultrasonicand rotary technologies, ensuring total independence in increasingly diverse clinical areas.
I-SurgeCompetitor ACompetitor B
6
5,5
5
3
2
1
TorqueN.cm
100 200 300 5 000 10 000 15 000 20 000 25 000 30 000 35 000 40 000
Motor speed (Rpm)
IMPLANTCENTER 2
The alliance of technologies for fast and secure bone surgeries
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POWERFUL ULTRASONICS
MANY EXCLUSIVE TIPS
INNOVATIVE AND BROAD TIP RANGE, WITH SHAPES ADAPTED TO CLINICAL CONDITIONS
BONE SURGERYOsteotomy/OsteoplastyClean and thin cut for maximal bone volumeBS1S, BS2L II, BS2R II, BS4 II, BS5 II, BS6 II tips
BS Kit: ref F87509BS Pack*: ref F87500
INTRALIFTTM Crestal Sinus LiftMinimally invasive surgery for smooth sinus floor fractureTKW1 II, TKW2 II, TKW3 II, TKW4 II, TKW5 II tips
Intralift Kit: ref F87536Intralift Pack*: ref F87530
CREST SPLITTING
Rapid and minimally invasive technique for controlled expansionCS1 II, CS2 II, CS3 II, CS4 II, CS5 II, CS6 II tips
CS Kit: ref F87567CS Pack*: ref F87560
EXTRACTIONSyndesmotomyFor maximum bone preservationLC1 II, LC1-90° II, LC2 II, LC2L II, LC2R II, Ninja™ tips
Extraction Kit: ref F87546Extraction Pack*: ref F87540
PIEZOCISIONTMAccelerated Orthodontic SurgeryMinimal incisions, minimally invasivePZ1, PZ2L, PZ2R, PZ3 tips
PZ Kit: ref F87576PZ Pack*: ref F87570
CROWN EXTENSIONCrown LengtheningIncomparable precision and accessibilityBS6 II, CE1 II, CE2 II, CE3 II tips
CE Kit: ref F87554CE Pack*: ref F87550
SINUS LIFTLateral Sinus LiftUnbeatable comfort: selective and hemostatic cutSL1 II, SL2 II, SL3 II, SL4 II, SL5 II tips
SL Kit: ref F87519SL Pack*: ref F87510
ESSENTIAL
The 6 fundamental ACTEON® Equipment tipsBS1S, BS4 II, SL1 II, SL2 II, SL3 II, LC2 II tips
Essential Kit: ref F87528Essential Pack*: ref F87529
fUNDAMENTALTIPS
* Including: one sterilization box, one Piezotome® LED handpiece, one tips kit, one dynamometric wrench
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POWERFUL ULTRASONICS
Newtron® Perio PackIncluding: one sterilization box, one Newtron® LED handpiece, one Newtron® Perio kit (H1, H2L, H2R, H3, H4L, H4R), one dynamometric wrench ref F87520
Newtron® PackWithout tip’s kit - ref F87524
Irrigation line
Perfect asepsis
Fast assembly system
External extending the handpiece life 2 irrigation lines available
Autoclave (1line + 10 perforators - ref F57374), (line - ref E57374), (10 perforators - ref F57372)
Single use delivered sterile (set of 10 - ref F57370)
Easy accessories maintenance Easy access to all parts for disinfection
Robust stainless steel dynamometric wrench Saves precious time during surgery
BS1LLong saw (15mm) intended for facilitating ramus grafts
ref F87527
TKW6Tip Ø4.2mm for sinus membrane elevation recommended for combined techniques
ref F87538
BS1 RDRounded saw, Large 280° active surface
ref F87557
CLINICAL VERSATILITY ACCESSORIES
DENTAL TREATMENTS Get access to nearly 80 different tooth treatment tips, with exclusive designs, alloys and coatings for clinical versatility.
RELIABLE AND AUTOCLAVE RESISTANTDurability comes with a good technical environment organization and an adapted cleaning, decontamination and sterilization process.
Thermodisinfectors approved
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POWERFUL ULTRASONICS
FEATURES
Piezotome® Solo Piezotome® Solo LED Piezotome® 2 Implant Center™ 2
Unit features
Piezo ultrasonic surgery unit Piezo ultrasonic surgery unit Piezo ultrasonic surgery + dental treatment
(Perio, endo, etc) unit
Implantology motor+ Piezo ultrasonic surgery + dental treatment
(Perio, endo, etc) unit
Equipment
Delivered with:Handpiece,Handpiece support,Essential kit (6 tips),Dynamometric wrench,Multifunction footswitch,Irrigation bracket,2 autoclavable irrigation lines,15 perforators.
Delivered with:LED Handpiece,Handpiece support,Essential kit (6 tips),Dynamometric wrench,Multifunction footswitch,Irrigation bracket,2 autoclavable irrigation lines,15 perforators.
Delivered with:Multifunction and progressive footswitch,2 irrigation brackets,2 handpiece supports,2 autoclavable irrigation lines,30 perforators.
Delivered with:LED micromotor,Multifunction and progressive footswitch,2 irrigation brackets,2 handpiece supports,2 autoclavable irrigation lines,30 perforators.
Unit dimensions(W x H x D and weight)
378 x 136 x 306mm 3.7kg
378 x 136 x 306mm 3.7kg
473 x 150 x 340mm5kg
473 x 150 x 340mm5kg
Footswitch dimensions(W x H x D and weight)
173 x 140 x 176mm1kg
173 x 140 x 176mm1kg
311 x 181 x 209mm3.5kg
311 x 181 x 209mm3.5kg
Be part of our Piezotome® training sessions and workshops. Numerous trainings are available in collaboration with dental associations. Check our website and contact ACTEON® worldwide.
Piezotome® Clinical Booklet
Compendium
Surgery Tips Catalogue
PIEZOTOME TRAININGS
ASSOCIATED DOCUMENTS
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PERFORM ORAL SURGERY ON SOFT TISSUE QUICKLY, PRECISELY AND SAFELYD’Arsonval proved that high frequency currents above 100kHz have no harmful effects on humans. They will only have a thermal action. The section action is determined by the speed of heat produced which will induce cell vaporization. The coagulation action generates an electric discontinuous wave which will create less heat.
The current quality plays an important role on the cutting and coagulation effect. With more than 30 years of high frequency experience, ACTEON® develops efficient, secure, with unique features unit.
The only high frequency scalpel on the market that enables incision depth and coagulation to be controlled separately
Perfect control of treatment: ■ Limiting the risk of burning the tissues ■ Efficient control of bleeding allows
excellent visibility of treatment area
Fully rectified and filtered
Incision and coagulation
Total respect of biological tissues: ■ A fine and even cut with no side
effects ■ Good-quality healing
Incision Incision and coagulation
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ELECTROSURGERY
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POWERFUL ULTRASONICSELECTROSURGERY
A NEW IMPULSE
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Reliable and compact unit Very compact User-friendly for a fast setting up Only two potentiometers (incision and
coagulation) Settings can be very finely adjusted according
to the different types of tissues encountered
Electrode holder Light and autoclavable Simple-to-mount electrodes The electrode is insulated by a sheath,
only the active part is in contact with the soft tissue
Conductive braceletACTEON®’s choice for a bracelet system is the best compromise for safety and convenience:
Easy to install to enhance patient acceptance In direct contact with the patient’s skin Easily disinfected Adjusted to a contact region with a low resistance Perfect size to avoid concentration of heat More security: in compliance with new standards Classification of electrodes according to their size
and hemostatic capacity
INCISION & COAGULATION30 watts is enough for greater efficiency.
Technological performances Controlled power Reliable and reproducible setting Safer with maximal efficacy Less energy loss
Controlled power for all electrosurgical applications
■ Incisions/Excisions■ Frenectomy■ Gingivoplasty■ Coagulation■ Abscess incision■ Exposure of impacted/
retained teeth■ Gingivectomy■ Etc.
Incision Ø 0.22mm
Excision Ø 0.22mm
Coagulating incision Ø 0.40mm
Fulguration and coagulation Ø 1mm / Ø 2.5mm / Ø 3.2mm
I22S I40STR22T FC10N
TR22R FC25B
TR22L FC32B
I22CA I40CA
SERVOTOME
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POWERFUL ULTRASONICS
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ELECTROSURGERY
TECHNIQUES OF USE CLINICAL CASES
Electrosection
Gingival Eviction
Abscess incision and drainage
Coagulation
Fulguration
Gingivectomy
Exposure ofimpacted tooth
Vaporizing the tissue with the active electrode makes it possible to cut quickly without damaging the edges of the incision.
One of Servotome®’s best recommended uses; can easily be combined with the Expasyl® technique (Acteon® Pharma).
Fast and deep treatment.
Concentrating energy at the surface of a massive electrode makes it possible to diffuse the heat to the surrounding tissue and produce instantaneous hemostasis.
Makes it possible to surface coagulate gingival tissue while protecting the underlying layer.
For extremely precise tracing of the ideal gingival line.
Circular incision for a clean and successful exposure.
Incision Fulguration
CoagulationCoagulating
incision
SURGICAL APPLICATION ELECTRODE(S) RECOMMENDEDI22S I22CA TR22T TR22R TR22L I40S I40CA FC10N FC25B FC32B
ORALSURGERY
Gingival evictionAbscess incision and drainageExposure of impacted tooth - operculectomyRemoval of the pericoronal sacHemostasis
RESTORATIVEDENTISTRY
Dental neck exposureExposure of fractured root crown lengtheningElimination of hypertrophic gingivaWidening of sulcusGingival modeling of edentulous crest
ORTHODONTICS
Exposure of impacted toothFrenectomyCrown lengthening for brackets placementElimination of hypertrophic gingiva
OPERATORYDENTISTRY
Preparation of cavity for inlay before impressionFrenectomy
PERIODONTICS
Flap surgeryGingivectomyGingivoplastyStripping